Direct care nursing personnel staffing ratios established in
Rule .2303 of this Subchapter shall not be applied to nursing services for
patients who require brain injury long‑term care. The minimum direct
care nursing staff shall be 5.5 hours per patient day, allocated on a per shift
basis as the facility chooses, to appropriately meet the patients' needs. It
is also required that regardless of how low the patient census, the direct care
nursing staff shall not fall below a registered nurse and a nurse aide I at any
time during a 24‑hour period.

History Note: Authority G.S. 131E‑104;

RRC objection due to lack of statutory authority Eff.
July 13, 1995;

Eff. January 1, 1996;

Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. March 22, 2015.